Sprengel S D, Klaan B, Kintzele L
Radiologische Klinik, Klinik für Diagnostische und Interventionelle Radiologie, Universitätsklinik Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland.
Diagnostische und Interventionelle Radiologie, Universitätsmedizin Rostock, Rostock, Deutschland.
Radiologe. 2018 May;58(5):433-441. doi: 10.1007/s00117-018-0364-x.
Inflammatory changes of the foot are comparatively rare and can be a challenge for radiologists with respect to the differential diagnosis, especially in cases with pre-existing degenerative changes of the foot skeleton. Comprehensive anamnesis and the use of contrast-enhanced MRI diagnostics are therefore often essential for diagnosis.
This review provides a cursory overview of the morphological characteristics of inflammatory changes of the foot and their differential diagnoses with a focus on osteomyelitis, joint infections, rheumatological diseases and tenosynovitis.
足部的炎症性改变相对少见,对于放射科医生而言,在鉴别诊断方面可能具有挑战性,尤其是在足部骨骼已有退行性改变的病例中。因此,全面的病史采集和使用对比增强磁共振成像诊断对于诊断通常至关重要。
本综述简要概述了足部炎症性改变的形态学特征及其鉴别诊断,重点关注骨髓炎、关节感染、风湿性疾病和腱鞘炎。